Customer Service Medical

FRANCES J. PERSON

*** ***** *****

Antioch, Tennessee 37013

T:615-***-****/C:615-***-**** / ******.*********@*****.***

JOB OBJECTIVE:

To obtain a position that utilizes my customer service skills and excellent communications abilities.

SUMMARY OF QUALIFICATIONS:

Extremely well-organized work habits, detail oriented, skill in office procedures

Data-Entry/Alpha-Numeric 10,000ks; 10key 12,000ks; Typing 50wpm; AS400

Proficient in the operation of office equipment and computers

Train in Microsoft Outlook, Microsoft Word and Excel

PROFESSIONAL EXPERIENCE:

Provider Bill Review-Coventry Healthcare Inc. Franklin,TN, 2004-2010

Assoc. Customer Communication Specialists/Coventry Health Care Inc. Harrisburg, PA,

Responsible for responding to all customers medicare benefits inquiries and resolving customer concerns. Research customer information thru “Essential” on-line resource library in response to inquiries, including authorizations, payments, denials, cob, and eligibility. Performs other duties such as, cross-reference all fields on UB92/HCFA forms. Make sure provider tin match and verify credential for accuracy. Verify if all medical codes were billed correct for type of service per patient hospital visit; meet all metric scores per day 80+ calls per day.

Processor Operations/Adecco – CitiMortgage, St Louis, MO, 2002-2003

Process daily incoming mail, sort, file; QA mortgage file via LPM,CMI,MIS applications

Verify customers background history, check summary, QA files for accuracy on loans

Collection Specialist/HCA Healthcare Services, Nashville, TN, 2001-2002

Work with patients via telephone to secure payments on outstanding accounts on medical bills.

Identify problems with coding, billing UB92 forms, verify medical records and patients accounts, verify update insurance coverage; handle 80+calls daily

Amtrak/Revenue Acct Dept-Police Dept-Payroll Dept-Commissary Dept, Philadelphia, PA, 1987-1999

Input passenger revenue tickets daily, scan, batch tickets; data- entry any suspect activities on Amtrak property or trains national, keyed in suspect report, file, scan, microfilm, typed all suspects files incoming Process employees payroll daily, process timecards, pay checks

Input APD/suspects criminal reports on Amtrak property; handled all internal customer inquires in supervisor’s absence

EDUCATION:

Stautzenberger Community College, Toledo, OH

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